| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,101 |
3,230 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,501 |
1,254 |
$102K |
| 73630 |
|
1,006 |
569 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
578 |
475 |
$11K |
| 11721 |
|
882 |
670 |
$9K |
| 29540 |
|
548 |
386 |
$8K |
| 20550 |
|
189 |
127 |
$6K |
| 17110 |
|
104 |
85 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
112 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
183 |
142 |
$5K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
13 |
12 |
$2K |
| 11056 |
|
60 |
44 |
$1K |
| 11057 |
|
13 |
13 |
$55.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$15.39 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
34 |
$0.00 |